B. There is clinically significant distress or impairment in social, occupational or other important areas of functioning associated with the frequency and intensity of these sexual fantasies, urges, and behavior.

C. These sexual fantasies, urges, and behavior are not due to direct physiological effects of exogenous substances (e.g., drugs of abuse or medications), a co-occurring general medical condition or to Manic Episodes.

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Homosexuality like heterosexuality is not a choice. But, There are homosexuals who are not happy (ego-dystonic) with their orientation. Homosexuality is solely biological and it cannot be changed/therapies aimed at changing sexual orientation will lead to suicide are some of the outdated and misleading views regarding the subject. Therapies attempting to reduce same sex attractions, are practiced by the majority of psychologists and psychiatric specialists around the world (+ Sri Lanka) and various researches, clinical records and personal testimonials prove that such therapies are effective. Therapies should not and cannot be FORCED upon an individual.
Homosexuality may be is not a choice but to abstain from promiscous sexual behaviour or to seek psychological help is indeed a choice.